LAWRENCE HALL YOUTH SERVICES (NPI# 1427303460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427303460 |
| Entity Type | Organization |
| Organization Name | LAWRENCE HALL YOUTH SERVICES |
| Practice Address |
5100 N Avers Ave Chicago IL 60625-6015 |
| Mailing Address |
2737 W Peterson Ave Chicago IL 60659-3927 |
| Practice Telephone | 7737282807 |
| Mailing Telephone | 7737282807 |
| Mailing Fax Number | 7737280751 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | MARK NUFER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7737282807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 02810811 | IL | Agencies |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 02810811 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437400421 | Lawrence Hall Youth Services | Case Management | 6621 N Ashland Ave, Chicago, IL 60626-4106 | 2012-10-01 |
| 1407107345 | Lawrence Hall Youth Services | Case Management | 6344 N Lakewood Ave, Chicago, IL 60660-1408 | 2012-10-01 |
| 1699030213 | Lawrence Hall Youth Services | Case Management | 1609 W Jarvis Ave, Chicago, IL 60626-1912 | 2012-07-10 |
| 1396009445 | Lawrence Hall Youth Services | Foster Care Agency | 8117 S Essex Ave, Chicago, IL 60617-1225 | 2012-07-03 |
| 1588623466 | Lawrence Hall Youth Services | Case Management | 4833 N Francisco Ave, Chicago, IL 60625-3640 | 2006-03-21 |
| 1851710792 | Lawrence Hall Youth Services | Case Management | 9n987 Koshare Trl, Elgin, IL 60124-8427 | 2014-04-08 |
| 1659797967 | Lawrence Hall Youth Services | Case Management | 455 N Shady Oaks Dr, Elgin, IL 60120-4309 | 2014-03-11 |
| 1619393352 | Lawrence Hall Youth Services | Case Management | 59 Park Row, Elgin, IL 60120-6525 | 2014-03-05 |
| 1508282245 | Lawrence Hall Youth Services | Case Management | 510 W Highland Ave, Elgin, IL 60123-5428 | 2014-03-05 |
| 1922331958 | Lawrence Hall Youth Services | Case Management | 65 E Wacker Pl, 7th Floor, Chicago, IL 60601-7296 | 2009-09-09 |
| Street Address |
5100 N AVERS AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1992054498 | Eric Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4452 W Thomas St, Chicago, IL 60651-3406 | 2012-08-30 |
| 1386920221 | Ibukun Comprehensive Community Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6752 S Perry Ave, Chicago, IL 60621-3714 | 2011-10-24 |
| 1487933495 | Uhlich Children's Advantage Network | Residential Treatment Facility, Emotionally Disturbed Children | 3730 N California Ave, Chicago, IL 60618-3604 | 2011-08-08 |
| 1184680175 | E.r.i.c. Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6120 W North Ave, Ste 202, Chicago, IL 60639-3901 | 2006-04-26 |
| 1720351299 | Julie Jacobs | Residential Treatment Facility, Emotionally Disturbed Children | 7313 N Honore St, #2, Chicago, IL 60626-1794 | 2012-02-14 |
| 1902173966 | Eric Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1900 N Austin Ave, Chicago, IL 60639-5010 | 2011-11-18 |
| 1174574016 | Jamal Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1335 S California Ave, Chicago, IL 60608-1611 | 2006-05-15 |
| 1235197583 | Lydia Home Association | Residential Treatment Facility, Emotionally Disturbed Children | 4300 W Irving Park Rd, Chicago, IL 60641-2825 | 2006-05-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.